CMS Price Transparency Data

X-ray, chest (two views)

Facility: UMass Memorial Health - Harrington Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $186
Cash Discount Price: $357
vs. Medicare Baseline: 2.09x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at UMass Memorial Health - Harrington Hospital is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.09x the Medicare baseline. Located in 100 South Street, Southbridge, MA.

Cash / Self-Pay

$357

Average discount available for prompt cash payment at this facility.

Insurance Median

$186

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $357 (402%)

Insurance Median: $186 (209%)

Cash: $357 (402% of Medicare)

Ins. Median: $186 (209% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 209% of the Medicare baseline (a markup of 109%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$54 - $4,022	61%
Cigna	$104 - $3,831	117%
Institution [10406]	$104 - $3,831	117%
Mgb Mcr [10124]	$104 - $3,831	117%
Champva [11001]	$105 - $3,738	118%
Tufts Us Family [11203]	$106 - $3,831	119%
Blue Cross Blue Shield	$108 - $3,958	121%
Commonwealth Care Alliance [10103]	$110 - $4,022	124%
Fallon Mcr Supp [20202]	$110 - $4,022	124%
Fallon Mcr [10105]	$110 - $4,022	124%
Tufts Mcr [10112]	$110 - $4,022	124%
UnitedHealthcare	$111 - $4,099	125%
Senior Whole Health [10110]	$113 - $4,099	127%
Fallon Connectorcare [10503]	$122 - $377	137%
Harvard Pilgrim [10701]	$166 - $399	187%
Workers Compensation [20501]	$174	196%
Tufts Connectorcare [10507]	$177 - $6,516	199%
Medicaid / KanCare	$186 - $286	209%
Hne [11108]	$232	261%
Tufts [11201]	$254	286%
Wellpoint [11112]	$263	296%
First Health Network [11120]	$268	301%
Evernorth Behavioral Health [27]	$286	322%
Masshealth [20302]	$286	322%
Connecticare [11105]	$357	402%
Fallon Carelon Hlth [28]	$357 - $979	402%
Fallon Mcaid Carelon Hlth [29]	$357 - $979	402%
Grants [20507]	$357	402%
Masshealth Mcd Mbhp [38]	$357	402%
Wellsense Mcaid Carelon Hlth [21]	$357 - $979	402%
Hsno/Free Care [10801]	$681	766%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $357.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UMass Memorial Health - Harrington Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71046.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.